Diagnostic Procedures

Diagnostic/ Laboratory Procedures Date Ordered Date Results in Indications or Purposes Results Normal Values (units used in the hospital) Analysis and Interpretation The results reveal that the patient may have impaired kidney function. The scarring and loss of the glomerular filtration membrane resulted to altered kidney function leading to an increased glomerular permeability. Because of this, there will be the passage of RBC in the urine resulting to a teacolored urine or amber. Turbidity or cloudiness may be caused by excessive cellular material or protein in the urine. Abnormal causes of turbidity include the presence of blood cells, yeast, and bacteria The specific gravity of the urine is within normal range. It is indicative that the kidney can still concentrate urine.

To screen urine for renal or urinary tract disease Urinalysis 08/15/2011 -To help detect metabolic or systemic disease unrelated to renal disorders Color: Tea colored (ABNORMAL) Light to amber

08/15/2011

Transparency: TURBID (ABNORMAL)

Clear

08/15/2011

Specific gravity: 1.025

1.005-1.035

08/15/2011

Albumin: (+) 3 Increased

negative

The scarring and loss of the glomerular filtration membrane resulted to altered kidney function leading to an increased glomerular permeability. Because of this, there will be the passage of albumin in the urine leading to albuminuria. The patient is not experiencing glycosuria. Presence of pus cells in the urine indicates that there is the presence of infection. The invasion of the antigen group B- hemolytic streptococcus will bring about antigen-antibody reaction circulating plasma. Then, there will be the deposition of antigenantibody complexes in the glomerulus leading to increase production of epithelial cells lining the glomerulus which results to the presence of few epithelial and pus cells.

08/15/2011

Sugar: (-)

negative

08/15/2011

Pus Cells: 15-20 (INCREASED)

negative

08/15/2011

RBC: 100 (over)

negative

The scarring and loss of the glomerular filtration membrane resulted to altered kidney function leading to an increased glomerular permeability. Because of this, there will be the release of RBC resulting to hematuria or presence of RBC in the urine. The invasion of the antigen group Bhemolytic streptococcus will bring about antigen-antibody reaction in circulating plasma. Then, there will be the deposition of antigenantibody complexes in the glomerulus leading to increase production of epithelial cells lining the glomerulus which results to few epithelial cells and bacteria.

08/15/2011

Epithelial: Few Others: Bacteria

negative

NURSING RESPONSIBILITIES Prior: Explain that this test, which requires urine specimen, aids diagnosis of renal or urinary tract disease and helps evaluate overall body function Tell the patient she need not restrict food or fluids but should avoid strenuous exercise before the test

Check the medication history for drugs that may affect test results

During: After: No specific posttest care is necessary Secure lab results in patients chart if indicated or whenever necessary. Document the results. Refer it to the physician in charge. Collect a random urine specimen of at least 15ml. If possible, obtain a first-voided morning specimen

Diagnostic Procedures

Date Ordered Date Result

Indication/ Purpose Antistreptolysin O (ASO) titer is a blood test to measure antibodies against streptolysin O, a substance produced by group A Streptococcus bacteria

Result positive

Normal Values Negative

Analysis and Interpretation This result means that the patient developed antibodies against group A streptococcus bacteria.

ASO titer

D.O.: 8/15/11 D.R.:8/15/11

CRP

8/15/11

Because CRP increases in severe cases of inflammation, the test is ordered when acute inflammation is a risk or suspected based on patient symptoms

(+) up to 1:16 dilution, 96 mg/L

< 6 mg/L

A high or increasing amount of CRP in your blood suggests that the patient has an acute infection or inflammation.

Nursing responsibilities

Before:

Positively identify the patient using at least two unique identifiers before providing care, treatment, or services.

Patient Teaching: Inform the patient this test can assist in assessing for heart muscle cell damage Obtain a history of the patient's complaints, including a list of known allergens, especially allergies or sensitivities to latex. There are no food, fluid, or medication restrictions unless by medical direction.

During:

Instruct the patient to cooperate fully and to follow directions. Direct the patient to breathe normally and to avoid unnecessary movement. Observe standard precautions, Collection. Positively identify the patient, and label the appropriate tubes with the corresponding patient demographics, date, and time of collection. Perform a venipuncture.

After:

Remove the needle and apply direct pressure with dry gauze to stop bleeding. Observe/assess venipuncture site for bleeding or hematoma formation and secure gauze with adhesive bandage. Promptly transport the specimen to the laboratory for processing and analysis.